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The British Columbia PCI Risk Score

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Dr Simon Walsh, consultant cardiologist in Craigavon Area Hospital, described The British Columbia PCI Risk Score. He presented results from a multivariate analysis of risk factors for 30 day mortality, based on a database of almost 33,000 patients undergoing PCI between 2000 and 2005. These factors included age, gender, emergency procedure, left main disease, 3-vessel disease, left ventricular ejection fraction (LVEF) <30%, LVEF 30-50%, LV assessment clinically contraindicated, heart failure, critical pre-procedure state, ST-elevation MI (STEMI) ongoing, recurrent STEMI, other acute coronary syndrome and renal failure. From these it was possible to construct a robust risk calculator, the BC-PCI risk score. The score offers advantages over other PCI scoring systems which predict in-hospital events alone.  Read more.